Ruest Mélanie, Bourque Monique, Laroche Sarah, Harvey Marie-Philippe, Martel Marylie, Bergeron-Vézina Kayla, Apinis Catherine, Proulx Dominique, Hadjistavropoulos Thomas, Tousignant-Laflamme Yannick, Léonard Guillaume
Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada; Research Centre on Aging, Centre intégré universitaire de santé et de services sociaux de l'Estrie-Centre hospitalier universitaire de Sherbrooke (CIUSSS de l'Estrie-CHUS), Sherbrooke, Quebec, Canada.
Centre intégré universitaire de santé et de services sociaux de l'Estrie-Centre hospitalier universitaire de Sherbrooke (CIUSSS de l'Estrie-CHUS), Sherbrooke, Quebec, Canada.
Pain Manag Nurs. 2017 Dec;18(6):410-417. doi: 10.1016/j.pmn.2017.05.009. Epub 2017 Aug 24.
A previous study found that the modified version of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC-II) is a valid tool to assess pain in elderly individuals suffering from dementia and who are unable to communicate verbally. The primary objective of this study was to confirm the convergent validity of the PACSLAC-II using direct evaluation of long-term care residents in real-life situations, using two other well-validated pain assessment scales (i.e., PACSLAC and Pain Assessment in Advanced Dementia [PAINAD]). A secondary objective was to document and compare the time required to complete and score each assessment scale. During two potentially painful procedures (i.e., transfer/mobilization), 46 long-term care residents (mean age = 83 ± 10 years) suffering from dementia were observed by three independent evaluators, each using one of the assessment scales (randomly assigned). Correlational analyses and analysis of variance were used to evaluate the association between each scale and to compare scoring time. The PACSLAC (r = 0.61) and the PAINAD (r = 0.65) were both moderately associated with the PACSLAC-II (all p values < .001). The PAINAD's average scoring time (63 ± 19 seconds) was lower than the PACSLAC-II's (96 ± 2 seconds), which was lower than the PACSLAC's (135 ± 53 seconds) (all p values < .001). These results suggest that the PACSLAC-II is a valid tool for assessing pain in individuals with dementia. The time required to complete and score the PACSLAC-II was reasonable, supporting its usefulness in clinical settings.
先前的一项研究发现，针对沟通能力有限的老年人的疼痛评估清单修订版（PACSLAC-II）是评估患有痴呆症且无法进行言语沟通的老年人疼痛的有效工具。本研究的主要目的是通过在现实生活中对长期护理机构居民进行直接评估，使用另外两种经过充分验证的疼痛评估量表（即PACSLAC和晚期痴呆症疼痛评估量表[PAINAD]），来确认PACSLAC-II的收敛效度。次要目的是记录并比较完成每个评估量表及评分所需的时间。在两项可能引起疼痛的操作（即转移/活动）过程中，三名独立评估人员对46名患有痴呆症的长期护理机构居民（平均年龄 = 83 ± 10岁）进行了观察，每位评估人员使用一种评估量表（随机分配）。采用相关分析和方差分析来评估各量表之间的关联并比较评分时间。PACSLAC（r = 0.61）和PAINAD（r = 0.65）与PACSLAC-II均呈中度相关（所有p值 <.001）。PAINAD的平均评分时间（63 ± 19秒）低于PACSLAC-II的（96 ± 2秒），而PACSLAC-II的又低于PACSLAC的（135 ± 53秒）（所有p值 <.001）。这些结果表明，PACSLAC-II是评估痴呆症患者疼痛的有效工具。完成PACSLAC-II评估及评分所需的时间是合理的，这支持了其在临床环境中的实用性。
